Provider Demographics
NPI:1679516553
Name:COKER, MARGARET A (DDS)
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:A
Last Name:COKER
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 614
Mailing Address - Street 2:
Mailing Address - City:DAVIS
Mailing Address - State:OK
Mailing Address - Zip Code:73030-0614
Mailing Address - Country:US
Mailing Address - Phone:580-622-6656
Mailing Address - Fax:580-622-6665
Practice Address - Street 1:1808 W BROADWAY AVE
Practice Address - Street 2:
Practice Address - City:SULPHUR
Practice Address - State:OK
Practice Address - Zip Code:73086-4246
Practice Address - Country:US
Practice Address - Phone:580-622-6655
Practice Address - Fax:580-622-6665
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK50011223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice